Perceptions of healthcare finance and system quality among Nigerian healthcare workers

• DOI: 10.1371/journal.pgph.0003881
• Publication Date: 2024-11-07T18:32:17Z
• Authors: Blessing Osagumwe...; Emmanuel Chukwunw...; Brontie Albertha ...; Lordsfavour Uzoma...; Oluwadamilare Aki...; France Ncube; Chinelo Cleopatra...; Eric Kelechi Alimele; Ndidi Louis Otoboyor; Oghosa Gabriel Jo...; Jemima Ufuoma Mukoro; Blessing Chiamaka...; Fawole Israel Ope...; Timothy Wale Olao...; Marios Kantaris
• Keywords: Healthcare system; Healthcare worker

Nigeria's healthcare system faces significant challenges in financing and quality, impacting the delivery of services to its growing population. This study investigates workers' perceptions these their implications for policy practice. A cross-sectional survey was conducted with 600 professionals from eight states across Nigeria, representing a variety occupations. Participants completed questionnaire that assessed financing, quality care, job satisfaction, motivation using 5-point Likert scale, closed- open-ended questions. Descriptive statistics, Chi-squared test, regression analysis were used analyze data. The findings revealed workers generally not satisfied current state Nigeria. Poor funding, inadequate infrastructure, insufficient staffing, limited access essential resources identified as major challenges. These contributed low demotivation, desire leave profession. Socioeconomic factors, location State practice, professional designation (clinical vs nonclinical), clinical (profession), employment type (full-time part-time) found influence (p < 0.05). indicated need improve satisfaction retention, care by increasing transparent fund management protocols, investing infrastructure human resource development, addressing regional disparities. By implementing reforms, Nigeria can enhance accessibility health well-being citizens.